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.国际功能、残疾和健康分类-脊髓损伤的核心组合ICFCoreSetsforSCI.2功能与残疾的综合模式.3环境因素个人因素相关因素活动身体功能与身体结构参与健康状况(疾病、外伤)功能与残疾的综合模式.4健康状况•健康状况是疾病、疾患、损伤或者外伤的总称•健康状况可以包括其他情况，例如老

龄、应激、先天畸形以及遗传因素等•健康状况使用ICD-10作为标准编码.5环境因素个人因素相关因素活动身体功能与身体结构参与慢性膝关节不稳M23.5功能与残疾的综合模式.6身体功能与身体结构•身体功能指身体的生理功能，包括心理功能•身体结构指身体的解

剖结构，例如器官、肢体和相关部件–相当于障碍Impairments.7环境因素个人因素相关因素活动疼痛、关节稳定性、交叉韧带参与慢性膝关节不稳M23.5功能与残疾的综合模式.8活动与参与•活动指个人执行任务或者个人的行动，代表个体功能•参与指参加生

活环境的活动，代表社会功能–活动限制–参与限制.9环境因素个人因素相关因素携带物体、弯膝、步行、攀爬疼痛、关节稳定性、交叉韧带照顾孙子、家务、协助丈夫工作慢性膝关节不稳M23.5功能与残疾的综合模式.10环境因素•人们居住和生活的物理、社会和态度环境–环境因素是个人之外的

因素•积极因素(facilitator)•消极因素(barrier).11-住在4楼，无电梯+使用拐杖/康复/药物治疗个人因素相关因素携带物体、弯膝、步行、攀爬疼痛、关节稳定性、交叉韧带照顾孙子、家务、协助丈夫工作慢性膝关节不稳M23.5功能与残疾的综合模式.12个人因

素•包括性别、年龄、人种、体质、生活方式、习惯、社会背景、其它社会功能.13-住在4楼，无电梯+使用拐杖、康复治疗、药物治疗60岁，生性积极相关因素携带物体、弯膝、步行、攀爬疼痛、关节稳定性、交叉韧带照顾孙子

、家务、协助丈夫工作慢性膝关节不稳M23.5功能与残疾的综合模式.14身体结构和功能障碍活动受限参与限制残疾.15身体结构和功能与参与活动功能改善.16功能改善.17ICF是国际通用的描述功能、残疾和健康状况的国际语言和概念Healthcondition(disease,tra

uma)EnvironmentalfactorsPersonalfactorsContextualfactorsThebiopsychosocialmodeloffunctioninganddisabilityActivityBodyfunctionand

bodystructureParticipationParticipation.18Healthcondition(disease,trauma)EnvironmentalfactorsPersonalfactorsConte

xtualfactors功能与残疾的生物心理模式ActivityBodyfunctionandbodystructureParticipationParticipation.19健康状况（疾病、外伤）253项环境因素个人因素相关因素

384项活动与参与493项身体结构310项身体功能.20b1–b8s1–s8d1–d9e1–e5章ICF–金字塔结构ICF身体功能身体结构活动与参与环境因素个人因素bsde.21第一级：身体结构与功能SkinandrelatedstructuresStructuresre

latedtomovementStructuresrelatedtothegenitourinaryandreproductivesystemsStructuresrelatedtothedigestiv

e,metabolicandendocrinesystemsStructuresofthecardiovascular,immunologicalandrespiratorysystems声音和言语相关的组织结构Theeye,earandrelatedstructur

esStructuresofthenervoussystemFunctionsoftheskinandrelatedstructuresNeuromusculoskeletalandmovement-relatedfunctionsGenitourinaryandrepro

ductivefunctionsFunctionsofthedigestive,metabolicandendocrinesystemsFunctionsofthecardiovascular,haematolo

gical,immunologicalandrespiratorysystems声音和言语功能SensoryfunctionsandpainMentalfunctionsChapter8Chapter7Chapter6Chapter5Chapter4Chapter3Chapter2Chapter1

身体结构(s)身体功能(b).22第一级：活动与参与主要的生活区域人际关系家庭区域个人自理活动交流一般任务与需求学习与应用技术社区、社会和公民活动Chapter8Chapter7Chapter6Chapter5Chapter4Chapter3Chapter2

Chapter1Chapter9.23第一级：环境因素(e)服务、体系与政策态度支持与关系自然环境和人类对环境的改造产品与技术Chapter5Chapter4Chapter3Chapter2Chapter1.24b1–b8s1–s8d1–d9e1–e5ChaptersICF

–第二级结构ICF身体功能身体结构活动与参与环境因素个人因素bsdeb110–b899s110–s899d110–d999e110–e5992ndLevel.25第二级结构–举例章节b1脑高级功能Mental

function整体脑高级功能(b110–b139)b110意识b114定向b117智力b122整体心理功能b126个性b130主观能动性b134睡眠b139非特指的整体心理功能特定的脑高级功能Specificmentalfunct

ions(b140–b189).26ICFBodyFunctionsbb1100–b7809b11420–b54509b1–b8b110–b899BodyStructuresss1–s8s110–s899s1100–s8309s11000

–s76009Activity&Participationdd1–d9d110–d999d1150–d9309EnvironmentalFactorsee1–e5e110–e599e1100–e5959ICF

–三级结构Thehigherthemoreprecise.27b脑高级功能Mentalfunctions一级b114定向功能二级b1141地点定向b1142人物定向b11420自我定向b11421他人定向ICF条目举例三级四级.28ICF总条目：1454有多

少在特定的疾病需要？临床和科研有何用途？评判标准？.发展ICF核心组合CoreSets.30瞎子摸象的故事.31ICFandICFCoreSets•确定评定条目•whattomeasure•应用基础：•howtomeasure.32b1b130b134b

152b180b1801•••••s299s710s720s730s73001s73011••••••••d170d230d360d410d415d430•••••e110e115e120e125e135e150•••

1454ICF核心组合.33b1b130b134b152b180b1801•••••s299s710s720s730s73001s73011••••••••d170d230d360d410d415d430•••••e110e115e120e125e135e150•••145

4ICF核心组合特定疾病特定环境.34骨关节炎OA–身体功能b280疼痛的感觉b710关节活动功能b730肌肉功能b770步态b715关节稳定性b740肌肉耐力b780与肌肉相关的感觉和运动功能b760自主运动的控制b134睡眠功能b735肌肉张力简要ICF核心

组合全套ICF核心组合.35s750下肢结构s730上肢结构s770其它与运动相关的肌肉骨骼结构s740骨盆结构s720肩部结构OA–身体结构简要ICF核心组合全套ICF核心组合.36d450步行d540穿衣d445手和手臂使用d510自我洗浴d470使用交通工

具d530如厕d430抬举和携带物品d640做家务d910社区生活d440手精细活动d410改变身体位置OA–活动与参与简要ICF核心组合全套ICF核心组合.37e115与个人日常生活相关的产品与技术e310近亲e580医

疗服务、体系和政策e150公共场合的建筑设计、产品和技术e355医务人员e540交通服务、体系和政策e120个人室内和室外活动和交通的产品与技术e135就业相关的产品与技术e155私人使用的建筑设计、建造和建筑产品e340个人护理人员和助手OA–环境因素简要I

CF核心组合全套ICF核心组合.38➔定量分级Qualifiers问题的严重程度如何量化已经清楚的?是功能障碍是什么并不清楚的?是b1141.0123489..40定量分级(qualifier)0没有问题(无、缺乏、可以忽视等)0-4%1轻度

问题(轻、低等)5-24%2中度问题(中等、较好等)25-49%3严重问题(高、极端等)50-95%4全部问题(最严重、全部受累等)96-100%8无法特定(当前的信息无法确定严重程度)9无法应用(不恰当或者不可能使用

).41环境因素双向分级•障碍因素Barrier--•促进因素Facilitator++.42ICFCategories0123489b134Sleepfunctionsb280SensationofPainb455Exerc

isetolerancefunctionsb710Mobilityofjointfunctionsb730Musclepowerfunctionsb740Muscleendurancefunctionsb770Gaitpatternfunctionsb780Sensa

tionsrelatedtomusclesandmovementfunctionss710Structureofheadandneckregions720Structureofshoulderregions730Structureofupperextremitys750Structureof

lowerextremityd230Carryingoutdailyroutineb134Sleepfunctions.43.44Rehab-CycleAssessmentEvaluationAssignmentInterv

ention.45AssessmentEvaluationAssignmentInterventionRehab-CycleICFModelICF&ICFCoreSets.46Diagnosis(ICD-10)Rehabilitatongoal

steamperspectiveenvironmentalfactorspersonalfactorsbodystructures&functionsactivities&participationpatientperspectiveUsetheICF

CoreSets!.47Diagnosis(ICD-10)Rehabilitatongoalsteamperspectiveenvironmentalfactorspersonalfactorsbodystructures&fun

ctionsactivities&participationpatientperspective.48AssessmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamperspectiveBody-St

ructures/FunctionsActivities/ParticipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrigh

tkneeandshoulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkneejointsDifficultiesingettingdressedProblemsinbrus

hingteethandcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghousewo

rkIhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofthepai

nMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+Motivated+adequatecopin

gstrategies+UsetheICF-Core-setsasaChecklist!GoalsofrehabilitationInterventionprogramgoal:Long-termgoal:.49

AssessmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamperspectiveBody-Structures/FunctionsActivities/ParticipationPersonalFactorsReha-diagn

osisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPaininhandsandfingersShortenedm

obilityandflexibilitySwellinginfinger,wristandkneejointsDifficultiesingettingdressedProblemsinbrushingteethandcombinghairDiffic

ultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghouseworkIhadtogiveupmyjobasasecretaryAllmyfree-timeact

ivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofthepainMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhand

use+,Supportivehusband+Self-helpgroup+Motivated+adequatecopingstrategies+b710Mobilityofjointfunctionsb715Stabilityofjointfunctions

b730Musclepowerfunctionsb435Immunologicalsystemfunctionss7302Structureofhands73011Wristjoints73021Jointso

fhandandfingerss75011Kneejoints7502Structureofankleandfootd440Finehandused445Handandarmused430Liftingandcarryingobjectsd63

0Preparingmealsd640Doinghouseworkd4500Walkingshortdistancesd4551ClimbingGoalsofrehabilitationIntervent

ionprogramgoal:Long-termgoal:.50AssessmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamperspectiveBody-Structures/FunctionsActivitie

s/ParticipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandsho

ulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkneejointsDifficultiesingettingdressedProbl

emsinbrushingteethandcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghou

seworkIhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecau

seofthepainMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+Motivated+adequatecopingstrateg

ies+ImpairedmobilityofjointsImpairedjointstabilityImpairedmusclestrengthInflammationparametersinblood

Subluxationofmetacarpophalangeal(MCP)joints2and3right,beginningulnardriftrightDegenerativechangesinfingersFingersandwristjointssw

ollenRightkneeswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFinehanduseHandandarmuseLiftingandca

rryingobjectsPreparingmealsHouseworkWalkingshortdistancesClimbingstairsGoalsofrehabilitationInterventionprogramgoal:Long-termgoal:.51Ass

essmentAssignmentInterventionEvaluationREHAB-CycleAssessmentinfoursteps1.Identificationoftheproblemsandneeds

ofthepatient,2.Determinationofthelong-term,interventionprogramandcyclegoalsand3.Identificationofinterventiontargetsrelatedtothecyclegoals..52Asses

smentwiththeICFSheetGoalsofrehabilitationInterventionprogramgoal:Independenceinself-careandhouseworkLong-te

rmgoal:VocationalretrainingPatient‘sperspectiveRehabilitationteamperspectiveBody-Structures/FunctionsActivities/ParticipationP

ersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPainin

handsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkneejointsDifficultiesingettingdressedProblemsinbrushingteeth

andcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghouseworkIhadtogiveupmyjobasasecretaryAllmyfree

-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofthepainMedication+

Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+Motivated+adequateco

pingstrategies+ImpairedmobilityofjointsImpairedjointstabilityImpairedmusclestrengthInflammationparametersinblood

Subluxationofmetacarpophalangeal(MCP)joints2and3right,beginningulnardriftrightDegenerativechangesinfingersFingersand

wristjointsswollenRightkneeswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFinehanduseHandandarmuseLifting

andcarryingobjectsPreparingmealsHouseworkWalkingshortdistancesClimbingstairsGoalsofrehabilitationInterventionprogram

goal:Long-termgoal:.53AssessmentAssignmentInterventionEvaluationREHAB-CycleAssessmentinfoursteps1.Identificationofthep

roblemsandneedsofthepatient,2.Determinationofthelong-term,interventionprogramandcyclegoalsand3.Identificationofinterventiontarge

tsrelatedtothecyclegoals..54AssessmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamperspectiveBody-Structures/FunctionsActivities/Part

icipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPainin

handsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkneejointsDifficultiesingettingdressedProblemsinbrushin

gteethandcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghouseworkIhadtogiveupmyjobas

asecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecaus

eofthepainMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-he

lpgroup+Motivated+adequatecopingstrategies+ImpairedmobilityofjointsImpairedjointstabilityImpairedmusclestrengthInflammationparametersinbloo

dSubluxationofmetacarpophalangeal(MCP)joints2and3right,beginningulnardriftrightDegenerativechangesinfingersFinger

sandwristjointsswollenRightkneeswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFinehanduseHandandarmuse

LiftingandcarryingobjectsPreparingmealsHouseworkWalkingshortdistancesClimbingstairsGoalsofrehabilitationInterventionprogramgoal:In

dependenceinself-careandhouseworkLong-termgoal:Vocationalretraining.55AssessmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamp

erspectiveBody-Structures/FunctionsActivities/ParticipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthri

tis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandknee

jointsDifficultiesingettingdressedProblemsinbrushingteethandcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsd

oinghouseworkIhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaff

ectedbecauseofthepainMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgr

oup+Motivated+adequatecopingstrategies+ImpairedmobilityofjointsImpairedjointstabilityImpairedmusclestrengthInflammationparameter

sinbloodSubluxationofmetacarpophalangeal(MCP)joints2and3right,beginningulnardriftrightDegenerativechangesinfingersFingersandwristjointsswollenRi

ghtkneeswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFinehanduseHandandarmuseLiftingandcarryingobject

sPreparingmealsHouseworkWalkingshortdistancesClimbingstairsGoalsofrehabilitationInterventionprogramgoal:Independence

inself-careandhouseworkLong-termgoal:Vocationalretraining.56Rehab-CycleAssessmentAssignment.57Asignment•HealthProfessionals•Programorservice–

Inpatientoroutpatientrehab,homerehab–Typeofspecificservice–Singlevsgroup–Firstintervention,refresher.58AssessmentwiththeICFShee

tPatient‘sperspectiveRehabilitationteamperspectiveBody-Structures/FunctionsActivities/ParticipationPersonalFac

torsReha-diagnosisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPaininhandsandfingersShortened

mobilityandflexibilitySwellinginfinger,wristandkneejointsDifficultiesingettingdressedProblemsinbrushingteethan

dcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghouseworkIhadtogiveu

pmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofthepainMedica

tion+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+Motivated+adequatecopingstrategies+Impairedmo

bilityofjointsImpairedjointstabilityImpairedmusclestrengthInflammationparametersinbloodSubluxationofmetacarpophalangeal(MCP)joints2and3right,beg

inningulnardriftrightDegenerativechangesinfingersFingersandwristjointsswollenRightkneeswollenBothanklejointsswollenHalluxvalguspositiion,

right>leftFinehanduseHandandarmuseLiftingandcarryingobjectsPreparingmealsHouseworkWalkingshortdistancesClimbingsta

irsGoalsofrehabilitationInterventionprogramgoal:Independenceinself-careandhouseworkLong-termgoal:Vocationalretraining.59A

signment•HealthProfessionals•Programorservice–Inpatientoroutpatientrehab,homerehab–Typeofspecificservice–Singlevsgroup–Firstintervention,refre

sherIntervention.60AssessmentAssignmentInterventionRehab-Cycle.61AssessmentwiththeICFSheetPatient‘sperspectiveRehabilita

tionteamperspectiveBody-Structures/FunctionsActivities/ParticipationPersonalFactorsReha-diagnosisICD-10chronicpol

yarthritis[ICD:M05.9]EnvironmentalFactorsPaininrightkneeandshoulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginf

inger,wristandkneejointsDifficultiesingettingdressedProblemsinbrushingteethandcombinghairDifficultiesinliftingthingsabovetheheadProble

mspreparingmealsProblemsdoinghouseworkIhadtogiveupmyjobasasecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffe

ctedbecauseofthepainMedication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband

+Self-helpgroup+Motivated+adequatecopingstrategies+ImpairedmobilityofjointsImpairedjointstabilityImpairedmusclestrengthInflam

mationparametersinbloodSubluxationofmetacarpophalangeal(MCP)joints2and3right,beginningulnardriftrightDegen

erativechangesinfingersFingersandwristjointsswollenRightkneeswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFi

nehanduseHandandarmuseLiftingandcarryingobjectsPreparingmealsHouseworkWalkingshortdistancesClimbingstairsGoalsofrehabilitationInterventionprogr

amgoal:Independenceinself-careandhouseworkLong-termgoal:Vocationalretraining.62AssessmentEvaluationAssignmentInt

erventionRehab-Cycle.63AssessmentwiththeICFSheetPatient‘sperspectiveRehabilitationteamperspectiveBody-Structure

s/FunctionsActivities/ParticipationPersonalFactorsReha-diagnosisICD-10chronicpolyarthritis[ICD:M05.9]EnvironmentalFactorsPaini

nrightkneeandshoulderPaininhandsandfingersShortenedmobilityandflexibilitySwellinginfinger,wristandkneejointsDifficultiesingettingdressedProblemsinb

rushingteethandcombinghairDifficultiesinliftingthingsabovetheheadProblemspreparingmealsProblemsdoinghouseworkIhadtogiveupmyjobas

asecretaryAllmyfree-timeactivitiesareaffectedMyintimaterelationshipwithmyhusbandisalsoaffectedbecauseofthepainMed

ication+Livesinafourthfloorflat;Noelevator–Needsaidsforhanduse+,Supportivehusband+Self-helpgroup+Motivated+adequate

copingstrategies+ImpairedmobilityofjointsImpairedjointstabilityImpairedmusclestrengthInflammationparametersinbloodSubluxationofmetacarp

ophalangeal(MCP)joints2and3right,beginningulnardriftrightDegenerativechangesinfingersFingersandwristjointsswollenRightkne

eswollenBothanklejointsswollenHalluxvalguspositiion,right>leftFinehanduseHandandarmuseLiftingandcarryingobjectsPreparingmealsHouseworkWalki

ngshortdistancesClimbingstairsGoalsofrehabilitationInterventionprogramgoal:Independenceinself-careandhouseworkLong-termgoal:Vocationalretraining.64

ICFClinicalPractice-RehabCycle•ICFSheet/Model–Referenceforthedocumentationoffunctioningbasedonhistory,examandanalysis–Mu

lti-disciplinarycommunicationandgoalsetting•ICFCoreSets–Guideformulti-disciplinaryassessment–Basisforinstitutional,professiona

l,nationalorinternationalguidelineshowtomeasurespecificcategories–Guidefortheassignmentofinterventionsandinterv

entionmanagement.65健康相关情况慢性全身性疼痛腰痛骨性关节炎骨质疏松类风湿性关节炎慢性缺血性心脏病糖尿病肥胖阻塞性肺疾病抑郁乳腺癌脑卒中.66Volume36,Supplement44/August

2004ICFCORESETSFORCHRONICCONDITIONSJournalofRehabilitationMedicine.67SCI-ICFConcensusConference•医生•护士

•PT•OT•SW•心理学家第一世界第二世界第三世界白人黑人黄人2007年11月14-19日，瑞士，Nottwil.68.69Nottwil，Swiss.70.71.72.73.74共计35人，分为五组，全体合影.75.76第二组合影.77C5损伤，ASIAA，9年，护士，南非.78T12损

伤，ASIAA，10年，治疗师，越南.79评审会议第一版SCI-ICF核心组合测试和验证ICF核心组合第一版多中心患者数据(ICF为基础的数据采集)专家意见调查表方式文献回顾PhaseIPhaseII初步研究3年患者座谈.80评审原则

•挑战：–Asfewaspossibleforclinicalpractice–从临床实用的角度，选取尽量少的条目–Asmanyaspossiblefornecessary–从必要性的角度，选取尽量多的条目•时期定义：–Earlypostacutephase–急

性期后早期、亚急性期、积极康复训练期–Startofactiverehabilitationtocompletionofcomprehensiverehabilitation–开始于主动康复介入，结束于全面康复完成.81SCI核心组合-身体功能b•

全套：–亚急性期：62–慢性期：44•核心：–亚急性期：8（肌力、呼吸、肌张力、排尿、大便、皮肤保护、痛觉、情绪）–慢性期：10（肌力、呼吸、肌张力、排尿、大便、皮肤保护、痛觉、情绪、关节活动度、性功能）.82S

CI核心组合-身体结构s•全套：–亚急性期：14–慢性期：19•核心：–亚急性期：3（脊髓及相关结构、呼吸系统结构、泌尿系统结构）–慢性期：4（脊髓及相关结构、呼吸系统结构、泌尿系统结构、皮肤结构）.83S

CI核心组合-活动与参与d•全套：–亚急性期：53–慢性期：64•核心：–亚急性期：6（步行、自我洗浴、如厕、穿衣、吃饭、饮水）–慢性期：8（户外步行、自我转移、改变体位、手/臂使用、如厕、使用交通工具、执行生

活常规、使用设备户外活动）.84SCI核心组合-环境因素e•全套：–亚急性期：32–慢性期：41•核心：–亚急性期：5（个人日常活动相关的产品和技术、与室内和室外活动和交通相关的产品和技术、直系亲属、生活护理者、医务人员）–慢

性期：？？.85评审会议第一版SCI-ICF核心组合测试和验证ICF核心组合第一版多中心患者数据(ICF为基础的数据采集)专家意见调查表方式文献回顾PhaseIPhaseII初步研究3年患者座谈.86PhaseI:审核ICF全套核心项目国际多中心研究医务人员的观点

患者的观点.87PhaseII:验证ICF全套核心项目国际多中心研究医务人员的观点患者的观点.88WHOConference2008.http://www3.who.int/icfwww.ICF-research-branch.orggerold.stucki@med

.uni-uenchen.dealarcos.cieza@med.uni-uenchen.de.90问题•为什么需要共同语言•如何确定共同语言•如何验证共同语言•如何使用共同语言